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Individual

DR. EUNSE PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, PHD

Contact information

Practice address
80 HORIZON DR STE 304B, SUWANEE, GA 30024-7740
(770) 591-8797
Mailing address
4260 GRANBY CIR, CUMMING, GA 30041-5807
(302) 985-1455

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP044415T
GA
225100000X
Physical Therapist
PTH12228
AL

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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